Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2008
Ultrasound-guided intra-articular injection of the trapeziometacarpal joint: description of technique.
To describe a new technique to perform an ultrasound-guided intra-articular injection of the trapeziometacarpal (TMC) joint. ⋯ Ultrasound may be used to accurately perform intra-articular TMC injections. Ultrasound provides a viable alternative to fluoroscopy when accurate injection into the TMC joint is required for diagnostic or therapeutic purposes.
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Arch Phys Med Rehabil · Jan 2008
Multicenter StudyCharacteristics and rehabilitation outcomes among patients with blast and other injuries sustained during the Global War on Terror.
To describe characteristics and rehabilitation outcomes among patients who received inpatient rehabilitation for blast and other injuries sustained in Iraq and Afghanistan during the Global War on Terror. ⋯ Blasts produce a unique constellation of injuries but do not make a unique contribution to functional gain scores. Findings underscore the need for assessment and treatment of pain and mental health problems among patients with polytrauma and blast-related injuries. Patients with polytrauma have lifelong needs, and future research should examine needs over time after community re-entry.
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Arch Phys Med Rehabil · Jan 2008
Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain.
To examine the psychometric properties including test-retest reliability, construct validity, and minimum levels of detectable and clinically important change for the Neck Disability Index (NDI) and the numeric rating scale (NRS) for pain in a cohort of patients with neck pain. ⋯ Both the NDI and NRS exhibit fair to moderate test-retest reliability in patients with mechanical neck pain. Both instruments also showed adequate responsiveness in this patient population. However, the MCID required to be certain that the change in scores has surpassed a level that could be contributed to measurement error for the NDI was twice that which has previously been reported. Therefore the ongoing analyses of the properties of the NDI in a patient population with neck pain are warranted.
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Arch Phys Med Rehabil · Jan 2008
Randomized Controlled TrialTherapeutic use of botulinum toxin type A in treating neck and upper-back pain of myofascial origin: a pilot study.
To determine the efficacy of botulinum toxin type A (BTX-A) in treating neck and upper-back pain of myofascial origin. ⋯ Trends toward improvements in VAS and NDI scores of the BTX-A group are encouraging, but they were possibly due to a placebo effect and were not statistically significant. The BTX-A subjects, at certain time points, showed statistically significant improvements in the bodily pain and mental health scales of the SF-36 compared with controls. Our study had limited power and population base, but the results could be used to properly power follow-up studies to further investigate this topic.
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Arch Phys Med Rehabil · Jan 2008
Multicenter StudyProvider perspectives on rehabilitation of patients with polytrauma.
To describe, from the perspective of U.S. Department of Veterans Affairs (VA) polytrauma rehabilitation providers, (1) patients with combat-related polytrauma and their rehabilitation, (2) polytrauma patient family member involvement in rehabilitation, and (3) the impact on providers of providing polytrauma rehabilitation. ⋯ The VA should prioritize the identification or development and implementation of strategies to address family member needs and to monitor and ensure that PRC providers have access to appropriate resources. Future research should determine whether findings generalize to patients injured in other wars and to people who sustain polytraumatic injuries outside of a war zone, including victims of terrorist attacks.